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Desjardins Insurance Life, Health and Retirement (Desjardins Assurance Vie) fax number

(844) 409-6571

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Disability insurance claims / Attending physician reporting

Used for: Fax submission of Attending Physician Reports for disability/medical insurance claims (STD/LTD)

Fax destination details

Department
Disability insurance claims / Attending physician reporting
Purpose
Fax submission of Attending Physician Reports for disability/medical insurance claims (STD/LTD)
Form
ADDITIONAL REPORT OF ATTENDING PHYSICIAN — ADDITIONAL REPORT OF ATTENDING PHYSICIAN
Address
CP 3875 succursale Lévis, Lévis, Québec G6V 0A7, Canada

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Complete the form with patient/employee and physician details; submit by fax to the toll-free number 1-844-409-6575 or by mail/online as directed on the form.

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